Individual provider Active NPI

Betsy Jill Chappell, APRN

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1356701221
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130071 Issued in TX
Practice address
3204 4TH St
Longview, TX 75605-5143
Phone
(903) 501-5056
Fax
(903) 499-5056
NPI assigned
Mar 4, 2016
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130071 TX Primary

Addresses

Primary practice location

3204 4TH St
Longview, TX 75605-5143

Mailing address

3204 4TH St
Longview, TX 75605-5143
Phone (903) 501-5056

Other practice location 1

2868 County Road 3550
Holly Lk Rnch, TX 75765-3905
Phone (214) 906-4923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160329002271 TX Practitioner - Nurse Practitioner 1254638687 Reassigns benefits to 3 organizations
I20240228000831 IA Practitioner - Nurse Practitioner 1254638687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals P C CurrentSince Oct 4, 2023 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Feb 1, 2024 Accepting new patients
QV Urgent Care Ia PLLC CurrentSince Feb 1, 2024 Accepting new patients
The Cameron Clinic PLLC CurrentSince Oct 3, 2024 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Jun 15, 2022 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Jun 15, 2022 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104

213 West St S
Grinnell, IA 50112
Phone (641) 519-0563

801 N Grand Ave
Mt Pleasant, IA 52641
Phone (319) 984-4775

312 W McLane St
Osceola, IA 50213
Phone (641) 658-9048

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

1016 N Kilgore St
Kilgore, TX 75662
Phone (903) 522-4199

3204 4th St
Longview, TX 75605
Phone (903) 236-4111

505 N 6th St
Longview, TX 75601
Phone (903) 392-2307

Interoperability endpoints

  • Direct secure messaging: bchappell354913@ahs.direct-ci.com
  • Direct secure messaging: betsy.chappell.1@25502.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25502/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1356701221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-501-5056",
            "fax_number": "903-499-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-501-5056",
            "fax_number": "903-499-5056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2868 County Road 3550",
            "address_purpose": "LOCATION",
            "city": "Holly Lk Rnch",
            "state": "TX",
            "postal_code": "757653905",
            "country_code": "US",
            "telephone_number": "214-906-4923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "BETSY",
        "middle_name": "JILL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.